Expression of Interest - Youth Leadership Program 2023

There are many different types of Leaders. You do not need to already be a leader or have experience leading a team. Mornington Peninsula Shire is looking for a variety of young people that are passionate about being a part of community projects.

The Camp will be held on Monday 16 January and Tuesday 17 January 2023.

Question Title

* 1. First Name:

Question Title

* 2. Surname:

Question Title

* 3. Age

Date of Birth:

Date

Question Title

* 4. If you will be 18 years of age at the date of the Camp you will be required to have a current Working With Children Check.

Please tick the box that applies to you:

No, I will not be over 18 years of age at the time of Camp.

Yes, I will be over 18 years of age and currently already hold a current Working With Children Check. I am happy to provide proof of this to the Camp Coordinator.

Yes, I will be over 18 years of age, but do not currently hold a Working With Children Check.
I will apply for a Working With Children Check and provide a copy of this to the Camp Coordinator.

Question Title

* 5. Gender and Pronouns:

Question Title

* 6. Are you Aboriginal or Torres Strait Islander?

Yes

Question Title

* 7. Email address:

Question Title

* 8. Phone Number:

Question Title

* 9. Other Contact Phone Number:

Question Title

* 10. Address:

Street Name and Number:

Suburb:

Postcode:

Question Title

* 11. Parent/Guardian Full Name:

Question Title

* 12. Parent/Guardian Phone Number:

Question Title

* 13. Parent/Guardian Address:

Question Title

* 14. Parent/Guardian Email Address:

Question Title

* 15. Are you?

A full time student

A part time student

Distance education / alternative education provider

Home-schooling

A TAFE student

Currently completing an apprenticeship

Working full time

Working part time

Working casually

Looking for work

Other (please specify)

Question Title

* 16. What interests you about attending the Leadership Program?

Question Title

* 17. In your opinion what makes a good leader?

Question Title

* 18. What are some of your personal qualities you feel you can bring to the Program?

Question Title

* 19. What are your main areas of interest?'

The Arts

Event Management

Sport

Politics

Community Work

The Environment

Business

Outdoor Recreation

Media

Other (please specify)

Question Title

* 20. You will be required to meet with a Mornington Peninsula Shire Youth Worker and young person currently in a Leadership position in the September School Holidays to chat about the Program.
Which Youth Centre is easiest for you to access?

Shed 11 Youth Centre - 11 Marine Parade, Hastings VIC 3915

The Corner Youth Centre - 91 Wilsons Road, Mornington VIC 3931

Y-Lounge Youth Centre - 1 Nepean Plaza (off Ninth Avenue), Rosebud VIC 3939

Thank you for completing your 'Expression of Interest' for the 2023 Mornington Peninsula Shire's Youth Leadership Program.
You will be contacted by a member of the Mornington Peninsula Shire's Youth Services Team prior to the September School Holidays for to meet to discuss the program in further detail.

This program is proudly sponsored by Mornington Peninsula branches of the Bendigo Bank.

Question Title

* 1. First Name:

Question Title

* 2. Surname:

Question Title

* 3. Age

Question Title

* 4. If you will be 18 years of age at the date of the Camp you will be required to have a current Working With Children Check. Please tick the box that applies to you:

Question Title

* 5. Gender and Pronouns:

Question Title

* 6. Are you Aboriginal or Torres Strait Islander?

Question Title

* 7. Email address:

Question Title

* 8. Phone Number:

Question Title

* 9. Other Contact Phone Number:

Question Title

* 10. Address:

Question Title

* 11. Parent/Guardian Full Name:

Question Title

* 12. Parent/Guardian Phone Number:

Question Title

* 13. Parent/Guardian Address:

Question Title

* 14. Parent/Guardian Email Address:

Question Title

* 15. Are you?

Question Title

* 16. What interests you about attending the Leadership Program?

Question Title

* 17. In your opinion what makes a good leader?

Question Title

* 18. What are some of your personal qualities you feel you can bring to the Program?

Question Title

* 19. What are your main areas of interest?'

Question Title

* 20. You will be required to meet with a Mornington Peninsula Shire Youth Worker and young person currently in a Leadership position in the September School Holidays to chat about the Program. Which Youth Centre is easiest for you to access?

* 4. If you will be 18 years of age at the date of the Camp you will be required to have a current Working With Children Check.

Please tick the box that applies to you:

* 20. You will be required to meet with a Mornington Peninsula Shire Youth Worker and young person currently in a Leadership position in the September School Holidays to chat about the Program.
Which Youth Centre is easiest for you to access?